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Head-to-head · Cost-Efficiency Index

CoreAge Rx vs Royal Medical Center

Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.

Better valueGrade A · #1

CoreAge Rx

Anyone optimizing for real value — a transparent flat price you can model for a full year, nationwide, without a bait-and-switch.

Visit CoreAge Rx
VS
Grade C · #399

Royal Medical Center

Cost-first shoppers who want credentialed MD founder with itemized dose-strength pricing.

Visit Royal Medical Center

The verdict

Winner · CoreAge RxGrade A vs C

CoreAge Rx takes it, leading the Cost-Efficiency Index 94 to 48. Best value on the board: both molecules at one flat, all-50 price with no teaser step-ups — the lowest true cost of ownership, not the lowest teaser. Royal Medical Center still earns a CCost-first shoppers who want credentialed MD founder with itemized dose-strength pricing.

Factor by factor

Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.

Normalized Cost/Month

93
29

Price Transparency

97
78

Nationwide Access

98
24

Formulation Options

84
53

Clinical Oversight

90
62

Contract Flexibility

95
55

Pricing, coverage & formulary

The disclosed facts behind the scores. Lower price wins its row (teal).

SpecCoreAge RxRoyal Medical Center
Cost-Efficiency Index94/10048/100
Semaglutide / mo$149/moNot disclosed
Tirzepatide / mo$349/mo$450/mo (2.5 mg dose, compounded)
Semaglutide / yr (modeled)$1,788
Tirzepatide / yr (modeled)$4,188$5,400
CoverageAll 50 statesCoverage not published
Oral / sublingualNoNo
Brand-name accessCompounded onlyCompounded only
Rank on the board#1#399

CoreAge Rx

94/100

Where the value is

  • Flat all-in monthly price — no intro rate that silently triples after month one, so the modeled annual cost is the real cost
  • Both compounded semaglutide and tirzepatide on one account at published prices
  • Available in all 50 states — no coverage gamble

The tradeoffs

  • Not the rock-bottom sticker price — cheaper teaser tiers exist (Direct GLP lists $65, Ondra $93 on semaglutide)
  • No FDA-approved brand-name option (compounded only)
Visit CoreAge Rx

Full CoreAge Rx review →

Royal Medical Center

48/100

Where the value is

  • Physician founder Dr. Dagoberto Rodriguez, MD — Emory residency, former Coral Springs Medical Center chairman, U Miami faculty
  • Tirzepatide pricing fully itemized by dose tier ($450 / $650 / $800 / $1,100) — more transparent than 'starting at' floors
  • All-inclusive pricing bundles medication, supplies, injections, lab monitoring, and physician follow-ups

The tradeoffs

  • Operating legal entity not disclosed — only the 'Royal Medical Center' brand surfaced
  • Pharmacy partner not named — buyers can't verify licensure or 503A/503B status
Visit Royal Medical Center

Full Royal Medical Center review →

Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.

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